Trusted from independent practice to national hospital groups
The cancer MDT, the Montgomery consent for a major resection and the operation note in full, Note Dr writes the upper GI record, ready to approve.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the clinic as it happens. While you talk a patient through staging, the MDT decision and the risks of a major resection, it writes the record in the background, so someone weighing up an oesophagectomy gets you, not the top of your head over a keyboard.
Montgomery consent, risk by risk
Anastomotic leak, pneumonia, bleeding, a hoarse voice and a life changed by altered eating, the material risks and the reasonable alternatives you set out, logged in the patient's own context the moment you take consent.
The RCS operation note, in full
Findings, complications, any extra procedure and why, tissue removed, implants, closure technique and estimated blood loss, the narrative fields audits show go missing most, captured as you operate rather than reconstructed at the end of the list.
Complications and candour on record
An intra-operative event, what you did about it and what you then told the patient and family, documented contemporaneously so the duty of candour is met and the record matches the course of recovery.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in major resection, the Montgomery consent, the full RCS operation note and the continuity through recovery, where published standards and audits show conventional surgical records routinely fall short.
Standards and audits referenced: RCS England Good Surgical Practice (2025), Montgomery v Lanarkshire Health Board (2015), GMC Good Medical Practice (2024), with operation-note and consent audits (Singh et al, 2012; Tonge et al, 2021).
Ask what the MDT decided, whether the patient was fit to proceed, or exactly which risks you consented for, answered in seconds from their own record.
Walk into theatre already knowing the story, without trawling the notes.
When a case calls for it, Note Dr surfaces the published guidance behind your decisions, RCS England Good Surgical Practice on the operation note, GMC Good Medical Practice, the consent standard set by Montgomery, the WHO Surgical Safety Checklist and the AoMRC record-structure guidance, with the source cited. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why upper GI surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
Montgomery consent, finally watertight
For a resection like an oesophagectomy, consent is everything. Leak, pneumonia, a hoarse voice, the alternatives, every material risk I name is captured in the patient's own context. The discussion is always there in black and white if the record is ever reviewed.
★★★★★
The operation note has every RCS field
Findings, complications, tissue removed, blood loss, closure, the narrative fields that always used to be thin are now complete. The operation note is finished and to the Good Surgical Practice standard before I have left theatre.
★★★★★
Complications and candour, on record
When something happens intra-operatively, what I did and what I then told the family is documented as it happens. The duty of candour is met without me writing it up hours later, and the record matches exactly how recovery went.
★★★★★
From MDT to discharge in one thread
The MDT outcome, the staging, the consent, the operation note and the ward rounds all read as one continuous record. On a cancer pathway that spans weeks, the whole story is there, and nothing falls down the gap between clinic and theatre.
★★★★★
Calmest case review we've run
Consent, the operation note and the post-operative course, complete on every major resection across the unit. Our last record-keeping review against Good Surgical Practice was the smoothest we have had, the notes already told the whole story from MDT to discharge.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
My records have never been this thorough: the Montgomery consent for each named risk, the full RCS operation note with findings and complications, and the recovery that follows, the lot. For the first time I would hand a court the full file on any resection I have done and trust it to speak for itself.
Mr Llewellyn DConsultant upper GI surgeon
Yes. It drafts the full operation note to the RCS Good Surgical Practice standard: the team, findings, complications, any extra procedure and why, tissue removed, implants, closure technique and estimated blood loss. The note is structured to your template and ready for you to review and approve before it is signed.
Record each material risk individually, such as anastomotic leak, pneumonia, bleeding, recurrent laryngeal nerve injury and altered eating, alongside the reasonable alternatives discussed. Note Dr captures the key points of the consent discussion in the patient's own context as you take it, contemporaneously rather than from memory.
Note Dr works without EHR integration by design, so nothing reaches the patient record automatically. It drafts the operation note, the Montgomery consent record or the discharge summary, and you paste or export the approved text into your hospital system. An oesophagogastric surgeon keeps full control of exactly what is filed, reviewing and approving every note first.
Transcription runs on your device, so the spoken consultation is turned into text locally rather than sent away as audio. Note Dr then drafts the structured note for you to review and approve. Across an upper GI cancer pathway, the MDT outcome, the Montgomery consent discussion and the operation note are captured, while the final record and clinical judgement stay with you.
Yes. Note Dr drafts the discharge summary at the end of an oesophagectomy episode. It captures the procedure, any complications and their management, the resection histology and staging, the oesophagectomy eating plan and dietetic follow-up, and the safety-net advice for the GP and patient. It threads the pathway from cancer MDT to discharge, ready for you to review and approve.
Yes. As you describe an intra-operative event and the action you take, Note Dr records the complication, your management and what you then tell the patient and family. The duty of candour is documented as it happens, so the record matches the course of recovery rather than being written up later.
It is designed to support complete, accurate and contemporaneous records that align with RCS England Good Surgical Practice and GMC Good Medical Practice. Every note is reviewed and approved by you, so what reaches the record is yours, not the software's. The clinical judgement stays entirely with you.